{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T20:42:29Z","timestamp":1776372149706,"version":"3.51.2"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,10]],"date-time":"2016-03-10T00:00:00Z","timestamp":1457568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008349","name":"Boehringer Ingelheim","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008349","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>\n                      To assess the safety and pharmacokinetic and pharmacodynamic characteristics of\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585, a selective 11\u03b2\u2010hydroxysteroid dehydrogenase\u20101 (11\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">HSD1<\/jats:styled-content>\n                      ) inhibitor, after single\u2010 and repeated\u2010dose administration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The single\u2010dose study included open\u2010label administration of 200\u2009mg\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585 in healthy volunteers, while in the multiple\u2010dose study, we carried out randomized, double\u2010blind administration of 5\u2013200\u2009mg\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585 or placebo once daily over 14\u2009days in patients with type 2 diabetes (\n                      <jats:styled-content style=\"fixed-case\">T2DM<\/jats:styled-content>\n                      ). Assessments included 11\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">HSD1<\/jats:styled-content>\n                      inhibition in the liver (urinary tetrahydrocortisol (\n                      <jats:styled-content style=\"fixed-case\">THF<\/jats:styled-content>\n                      )\/tetrahydrocotisone (\n                      <jats:styled-content style=\"fixed-case\">THE<\/jats:styled-content>\n                      ) ratio) and in subcutaneous adipose tissue (\n                      <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>\n                      )\n                      <jats:italic>ex vivo<\/jats:italic>\n                      and determination of hypothalamus\u2010pituitary\u2010adrenal (\n                      <jats:styled-content style=\"fixed-case\">HPA<\/jats:styled-content>\n                      ) axis hormone levels.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No major safety issues occurred with\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585 administration. The\n                      <jats:styled-content style=\"fixed-case\">HPA<\/jats:styled-content>\n                      axis was mildly activated with slightly increased, but still normal adrenocorticotropic hormone levels, increased total urinary corticoid excretion but unchanged plasma cortisol levels. After multiple doses of 5\u2013200\u2009mg\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585, exposure (area under the curve) increased dose\u2010proportionally and half\u2010life was 55\u201365\u2009h. The urinary\n                      <jats:styled-content style=\"fixed-case\">THF<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">THE<\/jats:styled-content>\n                      ratio decreased, indicating liver 11\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">HSD1<\/jats:styled-content>\n                      inhibition. Median 11\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">HSD1<\/jats:styled-content>\n                      enzyme inhibition in the\n                      <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>\n                      reached 90% after a single dose of\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585, but was low (31% or lower) after 14\u2009days of continuous treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585 was safe and well tolerated over 14\u2009days and can be dosed once daily. Future studies are required to clarify the therapeutic potential of\n                      <jats:styled-content style=\"fixed-case\">BI<\/jats:styled-content>\n                      135585 in view of its effects on 11\u03b2\u2010\n                      <jats:styled-content style=\"fixed-case\">HSD1<\/jats:styled-content>\n                      inhibition in\n                      <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>\n                      after single and multiple doses. Enzyme inhibition in the\n                      <jats:styled-content style=\"fixed-case\">AT<\/jats:styled-content>\n                      was not adequately predicted by the urinary\n                      <jats:styled-content style=\"fixed-case\">THF<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">THE<\/jats:styled-content>\n                      ratio.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.12635","type":"journal-article","created":{"date-parts":[[2016,1,22]],"date-time":"2016-01-22T09:02:51Z","timestamp":1453453371000},"page":"483-490","source":"Crossref","is-referenced-by-count":33,"title":["Safety, pharmacokinetics and pharmacodynamics of\n                    <scp>BI<\/scp>\n                    135585, a selective 11\u03b2\u2010hydroxysteroid dehydrogenase\u20101 (\n                    <scp>HSD1<\/scp>\n                    ) inhibitor in humans: liver and adipose tissue 11\u03b2\u2010\n                    <scp>HSD1<\/scp>\n                    inhibition after acute and multiple administrations over 2\u2009weeks"],"prefix":"10.1111","volume":"18","author":[{"given":"S.","family":"Freude","sequence":"first","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. KG  Ingelheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Heise","sequence":"additional","affiliation":[{"name":"Profil  Neuss Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.\u2010J.","family":"Woerle","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. KG  Ingelheim Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Jungnik","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. KG  Biberach Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Rauch","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharmaceuticals, Inc.  Ridgefield CT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. KG  Biberach Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Sch\u00f6lch","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. KG  Biberach Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Huang","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharmaceuticals, Inc.  Ridgefield CT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Graefe\u2010Mody","sequence":"additional","affiliation":[{"name":"Boehringer Ingelheim Pharma GmbH &amp; Co. 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